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Original article

Vol. 143 No. 4950 (2013)

Evaluation of universal newborn hearing screening in Switzerland 2012 and follow-up data for Zurich

  • Daniela Metzger-Müller
  • Thomas Francis Pezier
  • Dorothe Veraguth
Cite this as:
Swiss Med Wkly. 2013;143:w13905


BACKGROUND: The European Consensus Statement of Neonatal Hearing recommended universal newborn hearing screening (UNHS) in 1998. UNHS was introduced in Switzerland in 1999 under the auspices of a “Swiss Working Group Hearing Screening in Newborns”.

The aim of this study was to evaluate the number of newborns being screened and consequently followed-up in Switzerland for the year 2012.

METHODS: Postal questionnaires were sent to all registered maternity clinics and birth-centres in Switzerland. To evaluate follow-up of newborns failing the screening process, a retrospective consecutive cohort analysis of newborns failing screening at the University Hospital Zurich between 2005 and 2010 was performed.

RESULTS: A total of 102/110 (92.7%) maternity clinics and 1/14 (7.1%) birth-centres routinely performed UNHS. When weighted according to the number of births in the varying locations, 97.9% of all newborn received hearing screening. At the University Hospital of Zurich, 253/12,080 (2.1%) newborns failed the screening test and in 15/253 (6%) a relevant bilateral hearing impairment was found. This makes an overall incidence of congenitally relevant hearing loss of 0.12%. Unfortunately, 33/253 (13%) of newborns with failed screening were lost to follow-up.

CONCLUSION: UNHS is well-established in Switzerland and the vast majority of newborns are screened. However, follow-up of failed screens is disappointing. Further measures need to be taken to improve follow up.


  1. Grandori F, Lutman M. The European Consensus Development Conference on Neonatal Hearing Screening (Milan, May 15–16, 1998). Am J Audiol. 1999;8(1):19–20.
  2. Probst R, Schmid N, Zehnder A. Otorhinolaryngologie 2001: Allgemeines Hörscreening für Neugeborene. Schweiz Med Forum. 2002;1:13-5. German.
  3. Patel H, Feldman M. Universal newborn hearing screening. Paediatr Child Health. 2011;16(5):301–10.
  4. Hyde ML. Newborn hearing screening programs: overview. J Otolaryngol. 2005;34(Suppl 2):S70–8.
  5. Nelson HD, Bougatsos C, Nygren P, and U.S.P.S.T. Force, Universal newborn hearing screening: systematic review to update the 2001 US Preventive Services Task Force Recommendation. Pediatrics. 2008;122(1):e266–76.
  6. Thompson DC, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000–10.
  7. Smith RJ, Bale JF, Jr., White KR. Sensorineural hearing loss in children. Lancet. 2005;365(9462):879–90.
  8. Nickel R, Forge A. Gap junctions and connexins in the inner ear: their roles in homeostasis and deafness. Curr Opin Otolaryngol Head Neck Surg. 2008;16(5):452–7.
  9. American Academy of Pediatrics, Joint Committee on Infant Hearing., Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007;120(4):898–921.
  10. Yoshinaga-Itano C. Benefits of early intervention for children with hearing loss. Otolaryngol Clin North Am. 1999;32(6):1089–102.
  11. Huang LH, Zhang L, Tobe RY, Qi FH, Sun L, Teng Y, et al. Cost-effectiveness analysis of neonatal hearing screening program in China: should universal screening be prioritized? BMC Health Serv Res. 2012;12:97.
  12. Colgan S, Gold L, Wirth K, Ching T, Poulakis Z, Rickards F, et al. The cost-effectiveness of universal newborn screening for bilateral permanent congenital hearing impairment: systematic review. Acad Pediatr. 2012;12(3):171–80.
  13. Gross M, Buser K, Freitag U, Hess M, Hesse V, Hildmann A, et al. Universelles Hörscreening bei Neugeborenen – Empfehlungen zu Organisation und Durchführung des universellen Neugeborenen-Screenings auf angeborene Hörstörungen in Deutschland. Z Geburtshilfe Neonatol. 2004;208(6):239–45. German.
  14. Ptok M. Early detection of hearing impairment in newborns and infants. Dtsch Arztebl Int. 2011;108(25):426–31.
  15. Veraguth D, Meyer A, Bohlender J. Aktueller Stand der Neugeborenen-Hörscreenings in der Schweiz. Aktuelle phoniatrisch-pädaudiologische Aspekte. 2008;16:41–3. German.
  16. Davis A, Daniels S. Annual Report NHS Newborn Hearing Screening Programme 2010-11. UK National Screening Committee. Medical Research Council
  17. Bubbico L, Tognola G, Greco A, Grandori F. Universal newborn hearing screening programs in Italy: survey of year 2006. Acta Otolaryngol. 2008;128(12):1329–36.
  18. Russ SA, Hanna D, DesGeorges D, Forsman I. Improving follow-up to newborn hearing screening: a learning-collaborative experience. Pediatrics. 2010;126(Suppl 1):S59–69.
  19. Pisacane A, Auletta G, Toscano F, Errichiello M, Barrier F, Riccardi P, et al. Feasibility and effectiveness of a population-based newborn hearing screening in an economically deprived region of Italy. Int J Pediatr Otorhinolaryngol. 2013;77(3):329–33.
  20. Liu CL, Farrell J, MacNeil JR, Stone S, Barfield W. Evaluating loss to follow-up in newborn hearing screening in Massachusetts. Pediatrics. 2008;121(2):e335–43.
  21. Lim HW, Kim EA, Chung JW. Audiological Follow-up Results after Newborn Hearing Screening Program. Clin Exp Otorhinolaryngol. 2012;5(2):57–61.
  22. Shulman S, Besculides M, Saltzman A, Ireys H, White KR, Forsman I. Evaluation of the universal newborn hearing screening and intervention program. Pediatrics. 2010;126(Suppl 1):S19–27.
  23. Neumann K, Nawka T, Wiesner T, Hess M, Böttcher P, Gross M. Qualitätssicherung eines universellen Neugeborenen-Hörscreenings. HNO 2009;57:17-20.

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